{include file="header.inc.html"}


{html_js src=$TPL."validator.js"}

<div align="center">
  <table width="100%" border="0" cellpadding="0" cellspacing="0" background="{$TPL}images/bg.jpg">
    <tr>
      <td align="center"><table width="980" border="0" cellspacing="0" cellpadding="0">
        <tr>
          <td height="50" align="left" valign="middle"><span class="Location">
            {$lang.site.name} >> {$title}  
          </span></td>
        </tr>
        <tr>
          <td height="2" align="center" valign="top" background="{$TPL}images/gbg.jpg"></td>
        </tr>
        <tr>
          <td align="center" valign="top">&nbsp;</td>
        </tr>
        <tr>
          <td height="300" align="center" valign="top"><table border="0" cellspacing="0" cellpadding="0">
               <form method="post" action="{_url m='dobook'}" id="form" name="listForm"  onSubmit="return Validator.Validate(this,3)">


			   <tr>
                      <td width="132"><span style="color: #FF0000">※{$lang.book.input_company}</span></td>
                      <td width="452"><input name="compay" type="text" class="TextBox" size="40" maxlength="100" dataType="Require"  msg="{$lang.book.input_company_alert}">
                        &nbsp;</td>
                  </tr>

				   <tr>
                      <td width="132"><span style="color: ">※{$lang.book.input_part}</span></td>
                      <td width="452"><input name="part" type="text" class="TextBox" size="40" maxlength="100" dataType="Require"  msg="{$lang.book.input_part_alert}">
                        &nbsp;</td>
                  </tr>

				  
                        
                    <tr>
                      <td><span style="color: #FF0000">※{$lang.book.input_name}</span></td>
                      <td><input name="name" type="text" class="TextBox" value="" size="20" maxlength="50" dataType="Require"  msg="{$lang.book.input_name_alert}">
                        &nbsp;</td>
                    </tr>
                    
                    <tr>
                      <td><span style="color: #FF0000">※{$lang.book.input_email}</span></td>
                      <td><input name="email" type="text" class="TextBox" value="" size="40" maxlength="100" dataType="Require"  msg="{$lang.book.input_email_alert}"></td>
                    </tr>

					<tr>
                      <td>{$lang.book.input_address}<span style="color: #FF0000"></span></td>
                      <td><input name="email" type="text" class="TextBox" value="" size="40" maxlength="100" dataType="Require"  msg="{$lang.book.input_email_alert}"></td>
                    </tr>




                    
                    <tr>
                      <td><span style="color: #FF0000">※{$lang.book.input_phone}</span></td>
                      <td><input name="phone" type="text" class="TextBox" id="Telephone" value="" size="20" maxlength="50" dataType="Require"  msg="{$lang.book.input_phone_alert}"></td>
                    </tr>


                 <tr>
                      <td>{$lang.book.input_file}</td>
                      <td>
                        
                        <input type="radio" name="file" checked value="{$lang.book.input_file_1}" >{$lang.book.input_file_1}

                        
                        <input type="radio" name="file" value="{$lang.book.input_file_0}" >
						 {$lang.book.input_file_0}
                        &nbsp;</td>
                    </tr>
               <tr>
                      <td><font color="#FF0000">{$lang.book.input_content}</font></td>
                      <td><textarea name="content" cols="72" rows="8" class="TextBox" dataType="Require"  msg="{$lang.book.input_content_alert}"></textarea>
                        &nbsp;</td>
                    </tr>
                    <tr>
                      <td height="40" colspan="2"><p align="left">{$lang.book.input_notice}</p></td>
                    </tr>
                    <tr>
                      <td height="40" colspan="2" align="center"><input name="Submit" type="submit" class="button" value="{$lang.comm.submit}">
&nbsp;</td>
                    </tr>
                  </form>
            </table></td>
        </tr>
        <tr>
          <td align="center" valign="top">&nbsp;</td>
        </tr>
      </table></td>
    </tr>
  </table>
</div>

{include file="footer.inc.html"}